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City of Santa Ana <br />Permit Counter: (7 1 41 647 -5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA92702 Mechanical Permit#: 4O133{16 <br />Pin #: 42575lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Project Address: 1309 S Pacific Ave Unit: <br />Block: NA <br />Bldg: <br />Tract 1574 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: Rl <br />eT <br />Assesso/sParcel: 109-273-03 Lol: 29 <br />Owner: <br />Address: <br />Mercedesw Benitez <br />13284 Lorca Rd <br />Santa Ana, CA 92704 <br />(7'.t41868-2137 <br />F€eType Amount <br />01116002 51604 Wall Heater/Floor Fuma 65.57 <br />01'116002 5160C General Plan Update 22.08 <br />01'116002 5160.{ lssuance 55.04 <br />Fo6 <br />$65.57 <br />$22.O8 <br />$55.04Phone <br />Tenant Name: <br />Contractor <br />Address: <br />lnter-City Energy Systems, I <br />1175 N DEL PLACE <br />Ontario, CA 91764 <br />(5621 777 -1142Phone <br />State Lic #: 587709 <br />Lic Type: C-36, B, C-10, C-20, HIC <br />Bus. Lic #: 199981 <br />Workers' Compensalion lnsurance:Carrier: Zurich American lns Co <br />Polic-y #: WC03816460 <br />Expires: O7lO1l2O19 <br />Building Use: <br />Job Type: <br />Nature of Work <br />Single Famlly Owelling <br />Miscellaneous <br />Mechanical <br />Occupancy: <br />Constr Type: <br />Code: <br />R-3 <br />VB <br />cMc 2013 <br />Notes: Mechanical <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subjecl to Field: <br />Building Permil #; <br />web user <br />Oate: <br />Date: <br />Oate:01129t2019 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Ewry pennit issued shall become invalid unless the work o, tl,e sito <br />authoized by such pemil is ctmmen@d within 180 days afrot ils <br />issuat'd,,, ot il the wo* autllotizod on the sile by such pemit is suspended <br />or obandoned lot a peid ol 1 80 days afror the time the wo* is <br />cofifiencect <br />$142.69 <br />$142.69 <br />90.00 <br />lnspector MID#: 2019-'t49109 <br />N/A - No Balance <br />Qty <br />1.00 <br />1.00 <br />1.00 <br />Planning Conditions: <br />Fee Tolal <br />Paid lo Oale: <br />Balance Due: